Aggressive behaviors in the psychiatric emergency service

Chaput, Yves; Beaulieu, Lucie; Paradis, Michel; Labonté, Edith

doi:10.2147/oaem.s14307

Cited by 6 publications

(16 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Our results also support those of previous studies showing that alcohol is primarily responsible for most substance misuse-related PES visits. 2,29,33 As in the present study, Curran el al. 2 reported a slight predominance of depressive disorders in their substance misuse comorbid patients.…”

Section: Discussionsupporting

confidence: 80%

“…The completed forms were forwarded to the principal investigator on a weekly basis for data entry. 28,29 As in our earlier reports, 28,29 many strategies were used in order to minimize diagnostic uncertainty. First, over 60% of visits have been shown to occur within the daytime hours at these sites, which were covered (during the weekdays) by regular psychiatric staff each with over 5 years' experience in the PES setting.…”

Section: Methodsmentioning

confidence: 99%

“…Data collection was as described in previous studies. 28 , 29 Briefly, clinical and demographic data were prospectively obtained from patients 18 years of age and older visiting four PESs between September 1st, 2002 and August 31st, 2004. Two services were in the city of Montreal (Quebec, Canada).…”

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Substance Misuse in the Psychiatric Emergency Service; A Descriptive Study

et al. 2014

Self Cite

View full text Add to dashboard Cite

Substance misuse is frequently encountered in the psychiatric emergency service (PES) and may take many forms, ranging from formal DSM-IV diagnoses to less obvious entities such as hazardous consumption. Detecting such patients using traditional screening instruments has proved problematic. We therefore undertook this study to more fully characterize substance misuse in the PES and to determine whether certain variables might help better screen these patients. We used a prospectively acquired database of over 18,000 visits made to four PESs during a 2-year period in the province of Quebec, Canada. One of the variables acquired was a subjective rating by the nursing staff as to whether substance misuse was a contributing factor to the visit (graded as direct, indirect, or not at all). Substance misuse accounted for 21% of all diagnoses and alcohol was the most frequent substance used. Patients were divided into those with primary (PSM), comorbid (CSM) or no substance misuse (NSM). Depressive disorders were the most frequent primary diagnoses in CSM, whereas personality and substance misuse disorders were frequent secondary diagnoses in PSM. Although many variables significantly differentiated the three groups, few were sufficiently detailed to be used as potential screening tools. Those situations that did have sufficient details included those with a previous history of substance misuse, substance misuse within 48 hours of the visit, and visits graded by the nursing staff as being directly and/or indirectly related to substance misuse. Variables related to substance misuse itself were the primary predictors of PSM and, less significantly, CSM. The nursing staff rating, although promising, was obtained in less than 30% of all visits, rendering its practical use difficult to assess.

show abstract

Section: Discussionsupporting

confidence: 80%

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Substance Misuse in the Psychiatric Emergency Service; A Descriptive Study

et al. 2014

Self Cite

View full text Add to dashboard Cite

show abstract

“…In contrast, Chaput et al reported that only 7.4% of visits to participating psychiatric emergency services in Quebec, Canada were marked by current aggression. 19 Furthermore, our study found the violent cohort to be significantly associated with the male gender and substance use.…”

Section: Discussionmentioning

confidence: 56%

A profile of adult acute admissions to Lentegeur Psychiatric Hospital, South Africa

et al. 2019

View full text Add to dashboard Cite

Background: The Western Cape province has the highest documented lifetime prevalence of common mental disorders in South Africa. To ensure the efficient, equitable and effective distribution of current resources, there is a need to determine the profile of patients requiring psychiatric admission.Aim: To describe patients admitted to the acute adult admissions unit at Lentegeur Hospital.Setting: Lentegeur Psychiatric Hospital is situated in Mitchells Plain, Cape Town, and serves about 1 million people from nearby urban and rural areas.Methods: This retrospective study involved an audit of all patients (18–60 years of age) admitted between 01 January 2016 and 30 June 2016. The clinical records of 573 adult patients were examined.Results: The median age of the cohort was 29 years. Most patients (63%) were educated to the secondary level. Only 12% of the patients were employed, and 37% received disability grants. More than 90% of the patients presented with psychotic symptoms. Of these, 28% presented with a first-episode of psychosis. Of all patients, 20% were referred with manic symptoms and 7% with depressive symptoms. Many patients (62%) used substances concurrently in the period leading up to admission. Significantly more males (73%) used substances compared to females (38%). Cannabis was the most widely used substance (51%), followed by methamphetamine (36%). Recent violent behaviour contributed to 37% of the current admissions. A total of 70 patients (13%) tested positive for human immunodeficiency virus (HIV), and 49 (9%) tested positive for syphilis.Conclusion: Substance use and a history of violence contributed to admissions in this population.

show abstract

“…There was broad geographical variation in the primary studies: 13 were conducted in Australia, three were from the USA, three from the UK, and a study each from Canada, Cyprus, Italy, Jordan, Lebanon, Morocco, Nigeria, Palestine, Singapore, and Taiwan . Twenty‐seven (93%) studies scored 50–100% in the mixed methods appraisal tool indicating moderate to high quality.…”

Section: Resultsmentioning

confidence: 99%

Review article: Identifying occupational violence patient risk factors and risk assessment tools in the emergency department: A scoping review

Cabilan

Johnston

2019

Emerg Medicine Australasia

View full text Add to dashboard Cite

Occupational violence (OV) is a daily risk for ED staff. It contributes to staff stress, sick leave, turn‐over and burn‐out, and limits the capacity of staff to provide unimpeded quality care to patients and their families. Many factors contribute to incidents of OV; however, early detection of such risk factors could pre‐empt incidences of OV during ED episodes of care. A five‐stage methodological framework for scoping reviews was used to identify, summarise and synthesise OV risk factors from five key databases. A validated tool was used to appraise the quality of included studies. Independent evaluation by the reviewers was used throughout. Patient factors were extracted and described from 24 methodologically and geographically diverse papers. Methodological quality for these studies varied from moderate to high. A total of 34 OV risk factors were identified. Although there was variation in, and differences between, staff‐perceived and objective (documented) OV risk factors, patient risk factors can be categorised into three main groups: clinical presentation, behaviours and past history. Five existing ED OV risk assessment tools were identified, with limited supporting evidence for each. The results support the development of a reliable and validated OV risk assessment tool to be initiated at triage.

show abstract

Aggressive behaviors in the psychiatric emergency service

Cited by 6 publications

References 32 publications

Substance Misuse in the Psychiatric Emergency Service; A Descriptive Study

Substance Misuse in the Psychiatric Emergency Service; A Descriptive Study

A profile of adult acute admissions to Lentegeur Psychiatric Hospital, South Africa

Review article: Identifying occupational violence patient risk factors and risk assessment tools in the emergency department: A scoping review

Contact Info

Product

Resources

About